dc.contributor.author | Akinyi, Jackline | |
dc.date.accessioned | 2022-05-18T07:59:58Z | |
dc.date.available | 2022-05-18T07:59:58Z | |
dc.date.issued | 2021 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/160727 | |
dc.description.abstract | Background: Coronavirus disease 2019 (COVID-19) is caused by Severe Acute Respiratory Syndrome Coronavirus 2. It was first identified in humans on 19th December, 2019, in Wuhan city in China and declared a global health concern on 30th January, 2020.
Broad objective: To establish the clinical outcomes of critically ill COVID-19 patients admitted to critical care unit at Kenyatta National Hospital (KNH) from 1st April 2020 to 30th April 2021.
Methodology: Design and study population- Descriptive, retrospective cohort study of critically ill COVID-19 patients admitted to CCU at KNH from 1st April 2020 to 30th April 2021. Data collection- Medical records of COVID 19 patients admitted to the CCU were reviewed. Ethics- Approval granted by the Ethics Review Committee of University of Nairobi and Kenyatta National Hospital.
Results: Sixty-five patients who were admitted to the IDU CCU with COVID -19 during the study period of April 2020 to April 2021were evaluated. Males were 55.4%. The mean age of the patients was 38.14 years. Eighty percent of the patients had one or more comorbid conditions. The most common comorbidity was diabetes mellitus (29.2%), then hypertension (24.6%). The median length of stay in the CCU was 5 days. The mortality rate was 24.6%. Patients who developed complications were 32.3%. The most common complication was acute kidney injury (18.5%), followed by liver injury (13.8%). Out of the 16 patients who died 62.5% had one or more complications related to COVID 19.
Conclusion: Mortality rate was 24.6%, less than previous findings. Mortality rate was high among those who developed complications. Most of the patients (80%) had comorbidities.
Recommendations: AKI is the most common complication among critically ill COVID-19 patients that people should be on the lookout for in CCU. | en_US |
dc.language.iso | en | en_US |
dc.publisher | UON | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Clinical Outcomes of Critically Ill Covid-19 Patients | en_US |
dc.title | Clinical Outcomes of Critically Ill Covid-19 Patients Admitted to Critical Care Unit at Kenyatta National Hospital | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |